Organization
HERBERT J TANNENBAUM PHD
Active
Other names
Center For Effective Living
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HERBERT J TANNENBAUM PHD (PSYCHOLOGIST)
(201) 488-2997
Entity
Organization
Contact information
Practice address
1060 MAIN ST, SUITE 306, RIVER EDGE, NJ 07661-2591
(201) 488-2997
Mailing address
1060 MAIN ST, SUITE 306, RIVER EDGE, NJ 07661-2591
(201) 488-2997
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1221
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1221
NJ DIV OF CONSUMER AFFAIRS LICENSCE NUMBER
NJ
Enumeration date
11/20/2014
Last updated
11/20/2014
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